Salathé B
Medizinisch-Geriatrische Klinik, Felix Platter-Spital, Basel.
Orthopade. 1994 Feb;23(1):10-5.
The altered physiology of the older patient in combination with the increased number of disease processes increases the potential risk of perioperative complications. The usual diagnostic procedures often fail to uncover the multiple problems these patients have. They need a comprehensive preoperative assessment, which includes a thorough history, physical examination and laboratory testing. Special considerations include an evaluation of the nutritional status, the functional capabilities and an assessment of the patients' cognitive and emotional status. This type of comprehensive assessment helps the physician to minimize the perioperative risks for older patients and is an excellent tool for improving the postoperative care and rehabilitation procedures.
老年患者生理机能的改变，再加上疾病过程数量的增加，会增加围手术期并发症的潜在风险。常规诊断程序往往无法发现这些患者存在的多种问题。他们需要进行全面的术前评估，包括详尽的病史、体格检查和实验室检查。特殊考虑因素包括对营养状况、功能能力的评估以及对患者认知和情绪状态的评估。这种全面评估有助于医生将老年患者的围手术期风险降至最低，并且是改善术后护理和康复程序的绝佳工具。
